药物注射联合氩离子凝固对消化性溃疡出血的疗效分析  

Efficacy of injection plus argon plasma coagulation therapy for peptic ulcer bleeding

作　　者：姜英杰[1] 聂玉强[1] 李瑜元[1] 张龙[1] 

机构地区：[1]广州市第一人民医院消化内科,510180

出　　处：《现代消化及介入诊疗》2009年第2期71-73,共3页Modern Interventional Diagnosis and Treatment in Gastroenterology

摘　　要：目的比较内镜下药物注射联合氩离子凝固治疗及单一治疗对上消化道溃疡出血的疗效。方法将303例内镜下有活动出血的溃疡患者分为3组。157例接受内镜下药物注射止血治疗,51例接受氩离子凝固止血治疗,95例接受药物注射联合氩离子凝固治疗。结果三种方法的即时止血率均为100%,有效止血率在药物注射组、氩离子及联合治疗组分别为为87.9%、86.3%、91.6%,三组比较无统计学差异(P>0.05)。所有病例无穿孔及其它术后并发症。结论药物注射联合氩离子凝固治疗为安全有效的止血方法,但并没有显著提高止血率。Objective To evaluate the effect of injection plus argon plasma coagulation therapy on upper gastrointestinal bleeding ulcer. Methods Three hundred and three patients with active ulcer bleeding or with- out visible bleeding vessels were involved in this study. One hundred and fifty-seven patients were treated with injection of adrenaline solution, 51 patients with argon beam coagulator, 95 patients with combination of injection and argon beam coagulator. Results The rate of immediate hemostasia in all cases was 100%, and the curative rates of three different treatments were 87.9% ,86.3% and 91.6%, respectively, no statistical difference was found among 3 groups （P 〉 0.05）. No perforation and other postoperative complications occurred. Conclusions Endoscopic injection plus argon plasma coagulation therapy is an effective measure for stopping ulcer bleeding, but it does not significantly improve the rate of hemostasis.

关 键 词：溃疡 出血 内镜治疗 

分 类 号：R573[医药卫生—消化系统] R573.1[医药卫生—内科学]